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Michelle Dezura Anthony, NP
Adult Health Nurse Practitioner in Salem, Oregon
NPI 1649314220

Michelle Dezura Anthony is an Adult Health Nurse Practitioner based in Salem, OR and is specialized in Adult Health. Michelle Dezura Anthony practices in Salem, OR and has the professional credentials of NP. The NPI Number for Michelle Dezura Anthony is 1649314220 and holds a License No. RN79000 (Oregon).

The current practice location address for Michelle Dezura Anthony is 5125 Skyline Rd S, Salem, OR and can be reached out via phone at 503-315-4663. You can also correspond with Michelle Dezura Anthony through the mailing address at 5125 SKYLINE RD S, SALEM, OR - 97306-9413 (mailing address contact number: 503-315-4663).

Location: 5125 Skyline Rd S, Salem, OR, 97306-9413
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Provider Profile Details
NPI Number
1649314220
Provider Name
Michelle Dezura Anthony
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5125 Skyline Rd S, Salem, OR, 97306-9413
Phone Number
503-315-4663
Fax Number
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00754042 05 MS
1013889 05 LA
institution
Provider Business Practice Location Address Details
Address
5125 Skyline Rd S
City
State
Zip
97306-9427
Phone Number
503-315-4663
Fax Number
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Provider Business Mailing Address Details
Address
5125 Skyline Rd S
City
State
Zip
97306-9413
Phone Number
503-315-4663
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
AP04978 (Louisiana)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
RN79000 (Louisiana)
Definition
Definition to come...
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